Hassan, Hassan Ali

Hassan, Hassan Ali is an individual health care provider with primary practice located at 121 Whitehall Dr , St Augustine FL 32086-5266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hassan, Hassan Ali can be contacted via phone (904) 825-4500.

Contact Information

Primary practice address
121 Whitehall Dr St Augustine FL 32086-5266
Phone: (904) 825-4500
Fax: (904) 825-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME124175 Florida

Profile Details

NPI number 1285862185
LBN Legal business name Hassan, Hassan Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Apr 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285862185 NPPES
Florida MEDICAID 014998800
Florida Other 383514
Florida Other 150UW

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